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Contact Information

NICOLE C YAZDI, MA, R-DMT, LCAT-LP
1150 MAXWELL AVE STE 200
BOULDER, CO80304-4185
 Phone: 800-261-0127
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dance Therapist

225600000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for NICOLE C YAZDI · (Female)

NPI # 1083123574
Status Active
Credentials MA, R-DMT, LCAT-LP
Entity Individual
Enumeration date 09/27/2017
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • License # R-DMT-2266
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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